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D.D.S., D.M.D.
Doctor of Dental Surgery and Doctor of Medicine in Dentistry. These are abbreviations for academic degrees awarded to graduates of United States dental schools.
Date of service
The date when service was provided.
Date posted
For spending accounts, this is the date the transaction was completed and applied to your account.
Date processed
The date Humana reviewed and made a decision on a claim.
Deadline to verify
On the spending account expenses requiring verification, the last date you are able to confirm an expense was eligible for spending account reimbursement.
Death benefit
The amount payable upon the death of the insured.
Decline reason
On the spending account declined card transactions, this explains why the payment was denied.
Deductible
The amount that you—either by yourself or in combination with other covered family members—pay for covered in-network services each year before the plan pays for specified services. Some plans have a separate in-network and out-of-network deductible.
Defense Enrollment Eligibility Reporting System (DEERS)
A database of uniformed service members (sponsors), family members and others worldwide who are entitled under law to military benefits, including TRICARE. Beneficiaries are required to keep DEERS updated. Refer to the TRICARE Eligibility section of your handbook for more information.
Defined standard coverage (prescription drug coverage)
The lowest or most basic level of prescription drug coverage that can be offered through Medicare Part D.
Dental coverage
Your dental coverage is the benefit that you pay premiums for. Your coverage will pay certain approved costs associated with preventing and treating dental disease.
Dental health maintenance organization (DHMO)
DHMOs accept responsibility and financial risk for providing you with specified dental services during a set period of time at a fixed price. As a member, you receive comprehensive care through designated providers.
Dental prosthesis
This artificial device replaces one or more missing teeth.
Department of Insurance (See DOI)
The state regulatory agencies that govern insurance, licensing and solvency.
Dependent
An individual who is eligible for benefits through a spouse, domestic partner, parent or other family member.
Dependent care FSA
See “Flexible spending account - dependent care.”
Deposits to date
For spending accounts, this is the total amount contributed to your spending account as of a certain date.
Description
On the spending account Account Activity Tables, this is an explanation of the type of transaction or the type of provider. On the Claim Form, it is the type of service or procedure performed.
Designated Provider (DP)
Under the US Family Health Plan (USFHP), DPs, formerly known as uniformed services treatment facilities, are selected civilian medical facilities around the United States assigned to provide care to eligible and enrolled USFHP beneficiaries— including those who are age 65 and older — who live within the DP area. At these DPs, the USFHP provides TRICARE Prime benefits and cost-shares for eligible persons who enroll in USFHP, including those who are Medicare-eligible.
DHMO
See “dental health maintenance organization.”
Diagnostic services
Used to identify the cause of patients’ symptoms or the status of their medical condition. Diagnostic services may include a physical examination, radiology tests, blood tests, a study or an alternate procedure.
Digital X-ray
X-rays captured in digital format instead of on X-ray film. Digital X-rays can be immediately seen on a computer screen after exposure.
Disability benefit
The coverage associated with a disability income policy.
Disabled enrollee (Medicare)
An individual under age 65 who has been entitled to disability benefits for at least 2 years.
Disclosure
The release of information by an entity to others not affiliated with that entity.
Disease management
A proactive, disease-specific approach to improving healthcare outcomes by providing education and guidance to covered persons.
Disenroll
When you end your coverage with an insurance plan.
DOB
Date of birth.
DOI (see also “Department of Insurance”)
The state regulatory agencies that govern insurance, licensing and solvency.
Dose
The amount of medication you are prescribed or instructed to take at one time as treatment for a specific condition.
Drug discount program
A program that offers members special savings on medications not covered by their pharmacy benefit plan.
Drug list
A list of medications your plan covers is the Drug List, also known as a formulary.
Drug tiers/levels
Some plans place prescription drugs together in a group, or drug tier/level. With most plans, the amount you pay at the pharmacy depends on the tier or level for the drug.
Dual eligibles
People who qualify for both Medicare and Medicaid.
Durable medical equipment (DME)
Purchased or rented items that are prescribed by a healthcare provider for use in a patient’s home. Examples of durable medical equipment include hospital beds, oxygen equipment, seat lift equipment and wheelchairs.